Transcript Ch1 and 2 student

 Regulated by the ___________.
 The original container must have a capital ___ and ___________________ indicating its schedule
 A veterinarian must be registered with the DEA to purchase, dispense, or prescribe controlled
substances.
 Registration number must be on all controlled substance prescriptions and order forms.
 Registration is valid for three years
 Some states (Texas included) allows veterinarians without DEA numbers to administer or dispense
controlled substances if they are employed by a registered veterinarian. However, they cannot
purchase them or write a prescription for them.
 C-I drugs cannot be prescribed to animals
 C-II drugs must have written prescriptions and cannot be refilled
 Controlled substances must be dispensed in child-proof containers that read “Caution: Federal
law prohibits the transfer of this drug to any person other than the patient for whom it was
prescribed.”
 Must be stored in a __________________ _________________ of substantial construction
 Glass front, lightweight portable safes, and locked tackle boxes are not sufficient
 Farm-call vehicles may have a steel toolbox attached to the vehicle
 Log of ordering, receiving, and dispensing must be kept for ___ years (include stolen, spilled, lost)
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Bound pages that are sequentially numbered
Write in ink
Take inventory every two years.
Computer records must not allow much editing
 Cytotoxic drugs- drugs that are poisonous to mammalian cells
 Antineoplastic and antifungal agents
 Could potentially be teratogenic or carcinogenic
 _____________________/_____________________ agents- drugs that cause birth defects
(not only in the patient, but also in the person dispensing the drug)
 ___________________________ agents- drugs that cause cancer or preneoplastic changes
 OSHA has guidelines for the safe use, storage, and disposal of these drugs
 Absorption through the skin when drug spills/drips
 Inhalation of aerosolized drug when needle is removed from pressurized bottle, when dug is
being crushed/broken, or when ampules are broken.
 Ingestion of food contaminated with the drug
 REMEMBER:
 Store your lunch in a refrigerator that food is in!
 Don‘t place lunch on a counter where meds are placed.
 Wash your hands!
 Every hazardous material should have a MSDS, package insert, and a hospital policy
procedure sheet for spills and disposal of equipment.
 Store cytotoxic drugs separately from other drugs and clearly label them.
 Prepare the drug just prior to administration in a low traffic, well-ventilated area.
 Wear protective gear: mask (not surgical), gloves (multiple pairs if latex), gown with long sleeves
and cuffs, goggles.
 Use screw-on syringes and IV lines.
 Recheck calculations.
 Insure catheter placement is correct.
 Place all equipment in sealable plastic bags immediately after use and into a leak and puncture
proof hazardous waste container.
 Clean up properly after use. Do not allow maintenance staff to handle cleaning
 Chemotherapy spill kits are available
 DEFINITION: _________________________________________________________
________________________________________________________________________
 Examples:
 Flavoring to improve palatability
 Formulating drugs into different forms to ease administration
 NOTE: Diluting drugs with saline, crushing a tablet into a liquid, and
mixing drugs together in a syringe or vial are all examples of
compounding.
 Must be made and dispensed by a veterinarian or pharmacist
 Unacceptable if causes drug residues in food animals or puts the general public at risk
 Cannot be made for anyone outside the practice
 A valid client patient relationship must exist
 The compounded drug must meet safety and efficacy standards
 Records must be maintained
 Drug must be labelled correctly